Smith A E, Smith P E
PAL Program, Children's Memorial Medical Center, Chicago, IL 60614.
J Am Diet Assoc. 1992 Nov;92(11):1385-8.
Charges for nutrition products and services grew more than 800% between 1980 and 1990 at Children's Memorial Medical Center, Chicago, Ill. Three factors contributed to the growth in charges: distinguishing special services from those included in the bed charge, requiring rigorous documentation of services ordered and provided, and building administrative support for the program. Of the charges, 91% were related to nutrition support. The hospital converted 99% of the charges to private payers into actual revenue. The charge program provides the structure, discipline, and data to demonstrate the value of nutrition services for improving patient outcomes and may help sustain financial support even if the health care industry continues to move away from direct payment for services. Charging for nutrition products and services is a useful way for dietitians to document and be compensated for the value of their services in a hospital setting.
1980年至1990年间，伊利诺伊州芝加哥市儿童纪念医学中心的营养产品和服务收费增长了800%以上。收费增长有三个因素：将特殊服务与床位费中的服务区分开来，要求对所订购和提供的服务进行严格记录，并为该项目建立行政支持。在这些收费中，91%与营养支持有关。该医院将99%向私人支付方收取的费用转化为实际收入。收费项目提供了结构、规范和数据，以证明营养服务对改善患者预后的价值，即使医疗行业继续不再直接支付服务费用，也可能有助于维持财政支持。对营养产品和服务收费是营养师在医院环境中记录其服务价值并获得报酬的一种有用方式。
